Organization Active NPI

Select Wellness Center, LLC

  • Chiropractor
  • Wauseon, OH
National Provider Identifier
1609147057
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4249 Issued in OH
Legal business name
SELECT WELLNESS CENTER, LLC
Practice address
13020 US Highway 20a
Wauseon, OH 43567-9061
Phone
(419) 343-8317
NPI assigned
Jan 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monica Kiefer, D.C.NPI 1851662290
Title
Owner
Phone
(419) 343-8317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4249 OH Primary

Addresses

Primary practice location

13020 US Highway 20a
Wauseon, OH 43567-9061

Mailing address

13020 US Highway 20a
Wauseon, OH 43567-9061

National Provider Directory

National Provider Directory

Locations

13020 US Highway 20A
Wauseon, OH 43567
Phone (419) 335-0442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1609147057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 US HIGHWAY 20A",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435679061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 US HIGHWAY 20A",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435679061",
            "telephone_number": "419-343-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "KIEFER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-343-8317",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauseon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.